Melanie Herbert, NP
NPI 1295301273 · Adult Health Nurse Practitioner · Buffalo, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melanie Herbert, NP is a Adult Health Nurse Practitioner provider in Buffalo, NY (NPI 1295301273).
Provider details
- NPI number
- 1295301273
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- F310195-01 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
451 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 382 | $102 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 69 | $51 |
Typical Medicare-allowed amounts for these services range $51–$102 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 71 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levetiracetam | 941 | 189 |
| Lamotrigine | 773 | 133 |
| Gabapentin | 350 | 89 |
| Topiramate | 261 | 39 |
| Divalproex Sodium | 219 | 32 |
| Lacosamide | 210 | 45 |
| Clonazepam | 209 | 60 |
| Divalproex Sodiumbrand: Divalproex Sodium Er |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,929 across 118 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 100 High StBuffalo, NY 14203-1126Phone: (716) 859-5600
- 100 High StreetSection B2Buffalo, NY 14203-1126Phone: (716) 710-8266Fax: (716) 859-3971
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2022-06-01
- Certified
- 2022-06-01
Frequently asked questions
- What is Melanie Herbert's NPI number?
- Melanie Herbert's National Provider Identifier (NPI) is 1295301273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melanie Herbert's specialty?
- Melanie Herbert is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Melanie Herbert located?
- Melanie Herbert's practice location on file with NPPES is 40 George Karl Blvd, Buffalo, NY 14221-7183.
- What is Melanie Herbert's phone number?
- The practice phone number listed in the NPPES registry for Melanie Herbert is (716) 250-2000.
- Does Melanie Herbert accept Medicare?
- Melanie Herbert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melanie Herbert's NPI active?
- Yes — Melanie Herbert's NPI (1295301273) is active in the NPPES registry as of the last update on 2022-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.